NPI | 1275506255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 7666) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 60460) |
104100000X Social Worker (Licence: TX 41439) | |
Enumeration Date | 2006-02-09 |
Last Update Date | 2024-02-20 |